Please note: Only one questionnaire is required to apply for all available positions.

Referred by:

Personal Information

Suffix:

Name:
                   First Name             Middle Name              Last Name

 

Note: You must either enter your SSN or your International ID.

SSN: xxx-xx-xxxx

International ID:

Date of birth: MM/DD/YYYY

Address:

City:

Region:

Postal Code:

Country:

Home Airport *:

* The international airport closest to you.

Note: You must enter at least one phone number.

Home Phone:

Work Phone:

Cell Phone:

Email Address *:

* A confirmation will be sent to this email address.

Date Available: MM/DD/YYYY

Languages - Check all languages you are proficient in

Arabic

DARI

English

Farsi

French

German

Japanese

Pashayi

Russian

Sign Language

Spanish

Tagalog

Tashiq

None of the above

Qualifications - Check all qualifications you hold

18 Delta Medic (current)

Air Force PJ Qualified

Bondurant Driving Training Graduate

C.B.R. Instructor

CPR-Basic Qualified

EMT or EMT-I Qualified

Foreign Military

Law Enforcement Firearms Instructor

Medical Doctor

Military Freefall Qualified

Navy Corpsman

Navy SRFB Instructor

Physical Security Professional

SAS

SEAL Qualified

SpecOps Aviation

Air Force - CCT

Air Force Security Forces Qualified

Breaching Instructor

Certified Protection Professional

Demolition Instructor

Executive Protection/PSS Certified

Heavy Weapons Instructor

Marine RECON Qualified

Military Breacher Qualified

Military Police Qualified

Navy SAMI Instructor

Navy VBSS Instructor

Physician Assistant Qualified

Scotti Driving Training Graduate

Sniper Instructor

Urban Warfare Instructor

Air Force OSI-AST

Army Ranger Qualified

BSR Driving Training Graduate

Climbing Instructor

Driving Instructor

Explosive Ordnance (EOD) Qualified

ITI Driving Training Graduate

Medical Assistant Qualified

Military CQB Training

Military Work Dog Handler (MWI)

Navy SRFA Instructor

NRA Firearms Instructor

Project Management Professional (PMP)

Scout Sniper Qualified

Special Forces

None of the above

Weapons - Check all weapons you have received a qualification for

                                                          Enter MM/YY of date qualified

M-16 Series Rifle

M-16A1 5.56mm Assault Rifle

M-203

M-24 Rifle

M-240 Machine Gun

M-249 Squad Automatic Weapon

M-2B HB Machine Gun

Photo not available.

M-4 Carbine Rifle

M-9

MK-19

PKM

RPG

RPK

Shotgun

5.56mm M21S Assault Rifle

M93 Long Range Rifle - Black Arrow

30mm Auto. Grenade Launcher BGA

M93 7.62x51Nmm

7.62x54mm Sniper Rifle

M76 7.9 Sniper Rifle

M85 5.56mm

M90 5.56mm

M77 7,62x51mm NATO

Automatic 7.62mm M70/M72/M92

M84 7.62mm

M87 12.7 mm Heavy Machinegun

None of the above

Trades - Check all skills you are qualified for

Administrative Specialist

Armorer - Small Arms

Cook (FSS)

Electronic Security ALS/IDS

Field Mechanic

IT Specialist

Pilot - Fixed Wing

Sniper

Welder

Aircraft Mechanic

Aviation Ordnance Specialist

Demolition

Emergency Management

Intel Analyst

Logistician

Pilot - Rotary Wing

Translator

Armorer - Heavy Weapons

Communication Specialist

Diesel Mechanic

Facilities Maintenance

Intelligence Specialist

Medic

Plumber

Vehicle Mechanic

None of the above

Law Enforcement - Check all the law enforcement you have had

Border Patrol

Department of State

Federal Air Marshall

Local Police/Sheriff's Dept

SWAT

US Marshall Service

CIA

DOE

Federal Law Enforcement

Military Police

Sworn LEO Dog Handler (K9)

DEA

FBI

Highway Patrol

Secret Service

Texas Rangers

None of the above

Background Information

Citizenship:

Do you have prior Military Service?

Air Force

British

Federal

South Africa

Army

Irish

Navy

State

Marines

French

Russian

Serbian

German

None of the above

Do you have prior special operations community experience?

Air Force Pararescue

Rangers

Green Beret

Navy Seal

USMC Force Recon

FFL

Spetsnaz

None of the above

What clearance(s) do you currently hold?

DOE 'Q'

Top Secret SCI

Secret

Top Secret

None of the above

Comments - Enter additional information you'd like us to consider.

Resume - Please attach your resume

I certify that this information is complete and accurate. I understand that this information will be used to determine my employment considerations.